Gut dysbiosis was inevitable, but tolerance was not: temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphine

The therapeutic benefits of opioids are compromised by the development of analgesic tolerance, which necessitates higher dosing for pain management thereby increasing the liability for drug dependence and addiction. Rodent models indicate opposing roles of the gut microbiota in tolerance: morphine-i...

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Main Authors: Izabella Sall, Randi Foxall, Lindsey Felth, Soren Maret, Zachary Rosa, Anirudh Gaur, Jennifer Calawa, Nadia Pavlik, Jennifer L. Whistler, Cheryl A. Whistler
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Gut Microbes
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Online Access:https://www.tandfonline.com/doi/10.1080/19490976.2024.2446423
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author Izabella Sall
Randi Foxall
Lindsey Felth
Soren Maret
Zachary Rosa
Anirudh Gaur
Jennifer Calawa
Nadia Pavlik
Jennifer L. Whistler
Cheryl A. Whistler
author_facet Izabella Sall
Randi Foxall
Lindsey Felth
Soren Maret
Zachary Rosa
Anirudh Gaur
Jennifer Calawa
Nadia Pavlik
Jennifer L. Whistler
Cheryl A. Whistler
author_sort Izabella Sall
collection DOAJ
description The therapeutic benefits of opioids are compromised by the development of analgesic tolerance, which necessitates higher dosing for pain management thereby increasing the liability for drug dependence and addiction. Rodent models indicate opposing roles of the gut microbiota in tolerance: morphine-induced gut dysbiosis exacerbates tolerance, whereas probiotics ameliorate tolerance. Not all individuals develop tolerance, which could be influenced by differences in microbiota, and yet no study design has capitalized upon this natural variation. We leveraged natural behavioral variation in a murine model of voluntary oral morphine self-administration to elucidate the mechanisms by which microbiota influences tolerance. Although all mice shared similar morphine-driven microbiota changes that largely masked informative associations with variability in tolerance, our high-resolution temporal analyses revealed a divergence in the progression of dysbiosis that best explained sustained antinociception. Mice that did not develop tolerance maintained a higher capacity for production of the short-chain fatty acid (SCFA) butyrate known to bolster intestinal barriers and promote neuronal homeostasis. Both fecal microbial transplantation (FMT) from donor mice that did not develop tolerance and dietary butyrate supplementation significantly reduced the development of tolerance independently of suppression of systemic inflammation. These findings could inform immediate therapies to extend the analgesic efficacy of opioids.
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spelling doaj-art-27c469da4dca423bb252269f742d8f562025-01-13T04:11:34ZengTaylor & Francis GroupGut Microbes1949-09761949-09842025-12-0117110.1080/19490976.2024.2446423Gut dysbiosis was inevitable, but tolerance was not: temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphineIzabella Sall0Randi Foxall1Lindsey Felth2Soren Maret3Zachary Rosa4Anirudh Gaur5Jennifer Calawa6Nadia Pavlik7Jennifer L. Whistler8Cheryl A. Whistler9Department of Molecular, Cellular, & Biomedical Sciences, University of New Hampshire, Durham, NH, USADepartment of Molecular, Cellular, & Biomedical Sciences, University of New Hampshire, Durham, NH, USACenter for Neuroscience, University of California–Davis, Davis, CA, USADepartment of Molecular, Cellular, & Biomedical Sciences, University of New Hampshire, Durham, NH, USACenter for Neuroscience, University of California–Davis, Davis, CA, USACenter for Neuroscience, University of California–Davis, Davis, CA, USADepartment of Molecular, Cellular, & Biomedical Sciences, University of New Hampshire, Durham, NH, USADepartment of Molecular, Cellular, & Biomedical Sciences, University of New Hampshire, Durham, NH, USACenter for Neuroscience, University of California–Davis, Davis, CA, USADepartment of Molecular, Cellular, & Biomedical Sciences, University of New Hampshire, Durham, NH, USAThe therapeutic benefits of opioids are compromised by the development of analgesic tolerance, which necessitates higher dosing for pain management thereby increasing the liability for drug dependence and addiction. Rodent models indicate opposing roles of the gut microbiota in tolerance: morphine-induced gut dysbiosis exacerbates tolerance, whereas probiotics ameliorate tolerance. Not all individuals develop tolerance, which could be influenced by differences in microbiota, and yet no study design has capitalized upon this natural variation. We leveraged natural behavioral variation in a murine model of voluntary oral morphine self-administration to elucidate the mechanisms by which microbiota influences tolerance. Although all mice shared similar morphine-driven microbiota changes that largely masked informative associations with variability in tolerance, our high-resolution temporal analyses revealed a divergence in the progression of dysbiosis that best explained sustained antinociception. Mice that did not develop tolerance maintained a higher capacity for production of the short-chain fatty acid (SCFA) butyrate known to bolster intestinal barriers and promote neuronal homeostasis. Both fecal microbial transplantation (FMT) from donor mice that did not develop tolerance and dietary butyrate supplementation significantly reduced the development of tolerance independently of suppression of systemic inflammation. These findings could inform immediate therapies to extend the analgesic efficacy of opioids.https://www.tandfonline.com/doi/10.1080/19490976.2024.2446423Microbiotaopioidanalgesic tolerancebutyrateshort-chain fatty acidinflammation
spellingShingle Izabella Sall
Randi Foxall
Lindsey Felth
Soren Maret
Zachary Rosa
Anirudh Gaur
Jennifer Calawa
Nadia Pavlik
Jennifer L. Whistler
Cheryl A. Whistler
Gut dysbiosis was inevitable, but tolerance was not: temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphine
Gut Microbes
Microbiota
opioid
analgesic tolerance
butyrate
short-chain fatty acid
inflammation
title Gut dysbiosis was inevitable, but tolerance was not: temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphine
title_full Gut dysbiosis was inevitable, but tolerance was not: temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphine
title_fullStr Gut dysbiosis was inevitable, but tolerance was not: temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphine
title_full_unstemmed Gut dysbiosis was inevitable, but tolerance was not: temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphine
title_short Gut dysbiosis was inevitable, but tolerance was not: temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphine
title_sort gut dysbiosis was inevitable but tolerance was not temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphine
topic Microbiota
opioid
analgesic tolerance
butyrate
short-chain fatty acid
inflammation
url https://www.tandfonline.com/doi/10.1080/19490976.2024.2446423
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